Individual
DR. MADELINE ROSE DAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
132 EVEREST LN STE 5, SAINT JOHNS, FL 32259-4090
(402) 540-0648
(888) 972-2191
Mailing address
132 EVEREST LN STE 5, SAINT JOHNS, FL 32259-4090
(402) 540-0648
(888) 972-2191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5047
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015029700
—
FL
Enumeration date
06/03/2015
Last updated
07/21/2022
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